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HomeMy WebLinkAboutPermit Mechanical 2007-10-17 (2) _~IIU'" . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SCAi~NED .CITY OF SPRIN'GFIELD Building/Combination Permit PERMIT NO: COM2007-01560 ISSUED: 10/17/2007 APPLIED: 10/17/2007 EXPIRES: 04/17/2008 VALUE: Status Issued SITE ADDRESS: 724 CREST LN ASSESSOR'S PARCEL NO.: 1703341407901 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Pellet Stove Insert Owner: MCCLURG DAVID P & JA YLENE Address: 724 CREST LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License 121469 Expiration Date 03/27/2009 Phone 541-726-5723 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: I Compact: I PUBLIC IMPROVEl\tl~l~ 1 S I Street Improvements: Sidewalk Type: ~tor~ ISIewlft'\r~~r8~! Oregon law requires you to pecla ~orrig~\'IUIJ~~ adopted by the Oregon Utility Notification Center. Those rules are set forth Notes: In OAR 952-001-0010 through OAR 952-001- U\!l(Q)f~~fE: nt\nn v..." ......"'\' "h+ain Mnio~ nf thp n lip!,: hv nJI~ O!:tlI\IIIT ~,",AII FXPIRE IF THE WORK . calling the center. (Noie:.t.he te'~fJi,u'.'l;: . .. JTHORIZED UNDER THIS PERMIT IS NOT numbsi' for the Oregon Utility Nc " Ion Descn hon MMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). $ Per Sq Ft Squarek\~c\tag~O DAY PERIOD, It' I' B'd A Value or mu Ip ler or I mount DownspoutslDrains: Description Type of Construction Date Calculated Pa2e 1 of2 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01560 ISSUED: 10/17/2007 APPLIED: 10/17/2007 EXPIRES: 04/17/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following. work day. I Reguired InsRections I Pellet Insert: After installation By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. M /0-1/-07 Owner or Contractors Signature Date Paee 2 of2 'r4 ...--' ,~ . ~ o .., ,v-:l~ ~~ ~b ~JU) ~ ."'y-14 'v-l~ 4F)\, ...--i~ ~ ....--;-- ~ <~ ~~ ~~ ~ ."" l~ ~~)~ ~ ~ ~\I ..-0- ~ ~1 ~~ t, v-11 ~~~ .. ~ ~ ~: I r-I~ ~ ~ ~ 0> .~.~ rtIJ1 rQ) o o ~ . . SPRiNGFIELD CITY OF SPRINGFIELD, OREGON l"~" 1'1 I , 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 · FAX: (541)726-3689 City Job Number Com 2.OrJl,..... () iSba Job Location: '7~4 (K-e~ 1.~ Assessor's Map: Tax Lot: Owner: -r l)(~i d /l1 (. CIt'/'5' Address: 7:2 i{ C-te$ I /'.11. City: -spth/ v State: Phone: 7Yt -~~ n /)Jr, Zip: e:1;?t-!,/? , Preliminary Inspection for wood burning inserts is $61.50 (prior to insert).. Wood Stove/Pellet/Insert Permit is $71.50 (includes applicable fees and surcharges). Contractor Infvuuation Contractor: A~~~ ~plj 1i?1'1~, ' Address: f. () & ../ ")6? .3 ? City: ~l.J~. State: t?/.. Construction Contractor's Registration #: l.2.J t//; "- ,Phone: 7:k; - 5-:/a?3 Zip: 9 ?S/~/ Expires: By signing this permit/application, I agree to call for an inspection(s) as required (726-3769). I state that all information on this application/permit is correct and that I was provided with the Wood Stove Safety information for wood burning appliances and preliminary inspection standards as set by the Oregon Department of Environmental Quality or the Federal Environmental Protection Agency and I agree to provide the testing approval number to the inspector at the time of inspection. I also understand thatif I am requesting a preliminary inspection, the wall covering may be required to be removed. Signature: !1@? }(~) Date: /o-/7-~? Date of Application: / 6 Jrr I () f/ ( / Checked for Delinquencies: L/' Checked for Historical Status: (---- Shared Drive(T:)/Building FonnsIWood Stove Permit7-07,doc